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Health Cluster Bulletin HEALTH CLUSTER BULLETIN February 2018 This year’s first inter-agency convoy into East Ghouta arrives at Nashabieh. UNICEF/2018/Amer Almohibany Syria Arab Republic Emergency type: complex emergency Reporting period: 01.02.2018 to 28.02.2018 11.3 MILLION 6.1 MILLION 2.9 MILLION 2.9 MILLION in need of health internally in HTR and besieged with disabilities assistance displaced locations HIGHLIGHTS HEALTH SECTOR January 4W indicator Number of outpatient consultations at health facilities, High level advocacy continues on the 759,248 worsening humanitarian situation and on including through outreach services eastern Ghouta and Idlib, with a focus on 30,170 Number of trauma cases supported escalation and attacks on health facilities, 17,177 Number of deliveries attended by a skilled birth attendant urgent access for medicine and medical 2,539 Number of referred cases supplies to HTR and besieged areas and 675,637 Number of treatment courses provided sustainable and regular medical evacuations. 24 Number of health facilities with EPHC The latest UN Security Resolution 2401 41 Number of provided medical machines (2018) on 30-day cessation of hostilities in 162 Number of trauma cases referred for rehabilitation services Syria is to enable humanitarian aid delivery. 1 Number of facilities providing rehabilitation services Number of facilities providing EMoNC services per 500,000 39 In 2018 only one IA convoy so far (14 population February) to 7,200 people of the besieged 89 Percentage of EWARS sites submitting weekly reports Nashabieh in eastern Ghouta. Number of Health Care Facilities supported for the provision of 586 MHPSS According to WHO/health sector, an 1 Number of attacks on health care estimated minimum of 1065 people require Number of health facilities providing comprehensive GBV 23 urgent medical evacuations from the management besieged East Ghouta. A prioritized list of 84 699 Number of healthcare providers trained patients was shared with Damascus to 157 Number of community health workers trained follow up with authorities to approve Number of health facilities rehabilitated, reinforced, with medical 5 medical evacuation. equipment 65 Number of mobile medical units supported 442 Required (US$m) 15 Funded (US$m) 327 Funding gap (US$m) HEALTH CLUSTER BULLETIN February 2018 SITUATION OVERVIEW • The security situation in the country remains volatile and unpredictable. Hot spots: East Ghouta, Idlib, Aleppo, Afrin and Deir Ez-Zor. Developments in these areas had a direct impact on the general security situation countrywide as well as the UN operations. Escalation continues across the country with direct impact on health in Syria where already over half of Syria’s 111 public hospitals and half of its 1806 public care centers are now either closed or only partially functioning. • The UN is dee ply alarmed by the escalated military operations in eastern Ghouta, with airstrikes reportedly killing dozens of civilians and impacting nearly 400,000 men, women and children in the besieged enclave. • The UN is deeply concerned over the safety and protection of the 2 million people in Idleb governorate, where ongoing fighting and airstrikes have resulted in death and injury, and destruction of civilian infrastructure, including hospitals and schools. Between 15 December and 3 February, 325,443 displacements have occurred due to the ongoing fighting and airstrikes in the area, with people moving to the central, western and northern parts of Idleb Governorate. • In Afrin, the ongoing military operations, the reported blockage of exits, have virtually trapped many civilians preventing them from accessing safer areas. There are 324,000 men, women and children, including 126,000 displaced people living in the district. • In Al-Hassakeh, an agreement was reached to allow some UN partners to resume their work, after a month in which most humanitarian assistance came to a complete halt. The agreement is only for a period of two months and covers a limited number of partners. It is critical that in the long run all humanitarian partners can continue providing much needed assistance to affected people in camps and towns without restriction. • In Ar-Raqqa and Deir-ez-Zoir, the infestation of UXO (unexploded ordinance), IEDs (Improvised Explosive Devices), and ERW (Explosive Remnants of War) is provoking civilian casualties, mainly in Ar-Raqqa and Deir Ez- Zoir. Access for humanitarian workers to the city is almost impossible due to unsafe conditions. • There is a significant increase in level of Indirect Artillery Fire (IAF) and aerial campaigns in Damascus, Rural Damascus, Aleppo, Homs, Hama, Idlib and Dara’a reflecting the escalation of hostilities on the ground. • In the south, civilians in Al-Rukban camp remain inaccessible to the humanitarian team in Syria. The last time the camp was supplied with food and non-food items was from across the border in early January. Regular and sustained access to the camp population is critical to meet urgent needs that cannot be addressed with sporadic deliveries. • In ISIL-held areas, in Yarmouk Camp and other locations in Syria, civilians continue to be held captive, subjected to violence and coercion. Resolution 2332 [formerly 2258 (2015), 2165 (2014) and 2191 (2014)] authorizes UN agencies and their partners to use routes across conflict lines and the border crossings at Bab al-Salam, Bab al-Hawa, Al Yarubiyah and Al-Ramtha, to deliver humanitarian assistance to the people in need in Syria. The Government of Syria is notified in advance of each shipment and a UN Monitoring Mechanism is in place. The latest UN Security Resolution 2401 (2018) on 30-day cessation of hostilities in Syria to enable humanitarian aid delivery • Health sector is in its full operational readiness to implement this resolution for “all parties to allow safe, unimpeded and sustained access each week for the humanitarian convoys of the United Nations and their PAGE 2 HEALTH CLUSTER BULLETIN February 2018 implementing partners to all requested areas and populations — particularly the 5.6 million people in 1,244 communities in acute need and the 2.9 million in hard-to-reach and besieged locations… to carry out safe, unconditional medical evacuations, based on medical need and urgency, of the critically sick and wounded, in accordance with applicable international law”. • Health sector fully supports the UN SC call “to immediately lift the sieges of populated areas — including in eastern Ghouta, Yarmouk, Foua and Kefraya — and cease depriving civilians of essential food and medicine, which when used as a method of combat was an act prohibited by international humanitarian law”. • Health sector is ready to follow the developed lines of existing operational preparedness plans and provide the necessary life-saving and life-sustaining services for all civilians who wished to leave the besieged areas in rapid, safe and unhindered manner, through humanitarian pauses, days of tranquillity, localized ceasefires and truces” • Health sector partners will work closely with all stakeholders to comply with their obligations under international law concerning protecting civilians and medical and humanitarian personnel exclusively engaged in medical duties along with their means of transport and equipment, as well as hospitals and other medical facilities, including demilitarization of all medical facilities. February Statements: Statement is issued by the UN Resident and Humanitarian Coordinator and https://reliefweb.int/report/syrian-arab-republic/statement- UN Representatives in Syria on the impact of the compounded humanitarian un-resident-and-humanitarian-coordinator-and-un crisis in Syria, Damascus, 6 February 2018 UN rights chief urges international action as violence soars in Syria http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews. aspx?NewsID=22647 Statement attributed to Ali Al-Za’tari, UN Resident and Humanitarian https://reliefweb.int/report/syrian-arab-republic/statement- Coordinator in Syria, is released on the immediate need for a cessation of attributed-ali-al-za-tari-un-resident-and-humanitarian hostilities to protect and assist civilians, 12 February 2018 UOSSS statement, New Bombing Campaign Hits 5 Hospitals, Among Worst https://reliefweb.int/report/syrian-arab-republic/new- Days in Syrian History bombing-campaign-hits-5-hospitals-among-worst-days- syrian-history UNICEF “blank” statement, The War ON Children in Syria. Reports of mass https://mailchi.mp/unicef/statement-on-situation-in- casualties among children in Eastern Ghouta and Damascus yemen-by-unicef-executive-director-anthony-lake- englisharabic-1097465?e=a10ddfc4d9 Statement by High Representative/Vice-President Federica Mogherini and https://reliefweb.int/report/syrian-arab-republic/statement- Commissioner for Humanitarian Aid and Crisis Management Christos high-representativevice-president-federica-mogherini-and-1 Stylianides on the humanitarian situation in Eastern Ghouta and Idlib, Syria Statement by Panos Moumtzis, Regional Humanitarian Coordinator for the https://reliefweb.int/report/syrian-arab-republic/statement- Syria Crisis, on East Ghouta, Amman, 19 February 2018 panos-moumtzis-regional-humanitarian-coordinator-syria-1 Statement is issued by Panos Moumtzis, Regional Humanitarian Coordinator https://reliefweb.int/report/syrian-arab-republic/statement- for the Syria Crisis, on East Ghouta Hospital Attacks, Amman, 20 February panos-moumtzis-regional-humanitarian-coordinator-syria-2 2018 Statement attributable to the Spokesman for the Secretary-General on https://www.un.org/sg/en/content/sg/statement/2018-02-
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